How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,584.89 | Professional | None | $776.25 | $1,148.15 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,995.26 Typical High $1,995.26 | Facility | None | $891.25 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,819.70 | $2,137.96 | $2,570.40 |
Hally Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,412.54 | $1,737.80 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $7,413.10 | Facility | None | $1,230.27 | $1,949.84 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $4,168.69 | Professional | None | $851.14 | $1,513.56 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,344.23 | Professional | None | $2,089.30 | $2,137.96 | $2,344.23 |
Midlands Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,621.81 | $3,019.95 | $3,019.95 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,819.70 | $2,511.89 | $3,890.45 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,344.23 Typical High $4,466.84 | Facility | None | $870.96 | $2,344.23 | $4,466.84 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,584.89 | Professional | None | $707.95 | $891.25 | $1,584.89 |
Wellmark Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $575.44 Typical High $776.25 | Professional | 52 · Reduced service | $398.11 | $575.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $229.09 Typical High $316.23 | Professional | 53 · Discontinued | $158.49 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $169.82 Typical High $234.42 | Professional | 55 · Aftercare only | $117.49 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | 56 · Pre-op care only | $79.43 | $114.82 | $158.49 |
Where Iowa sits
The same service costs 3.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 2nd of 51
$1,738
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.